How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $14,454.40 | Facility | None | $6,456.54 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $30,902.95 | Professional | None | $6,456.54 | $6,456.54 | $30,902.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,235.94 Median $3,235.94 Typical High $15,488.17 | Professional | 52 · Reduced service | $3,235.94 | $3,235.94 | $15,488.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,288.25 Median $1,288.25 Typical High $6,165.95 | Professional | 53 · Discontinued | $1,288.25 | $1,288.25 | $6,165.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,786.30 Median $4,786.30 Typical High $22,908.68 | Professional | 54 · Surgery only | $4,786.30 | $4,786.30 | $22,908.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $954.99 Median $954.99 Typical High $4,570.88 | Professional | 55 · Aftercare only | $954.99 | $954.99 | $4,570.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $645.65 Median $645.65 Typical High $3,090.30 | Professional | 56 · Pre-op care only | $645.65 | $645.65 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $11,748.98 | Facility | None | $5,011.87 | $8,317.64 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $5,011.87 Typical High $5,888.44 | Professional | None | $2,630.27 | $5,011.87 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $4,786.30 Typical High $7,413.10 | Facility | None | $812.83 | $4,786.30 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,715.35 Typical High $4,265.80 | Professional | None | $3,019.95 | $3,715.35 | $4,265.80 |
DeanCare Setting Facility Modifier None Typical Low $6,165.95 Median $8,128.31 Typical High $14,791.08 | Facility | None | $6,165.95 | $8,128.31 | $14,791.08 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $2,454.71 Typical High $18,197.01 | Facility | None | $426.58 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Prevea360 Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $3,630.78 | Facility | None | $758.58 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $812.83 | Professional | None | $363.08 | $630.96 | $812.83 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
Where Wisconsin sits
The same service costs 218.8 times more in Wisconsin than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 1st of 51
$6,457
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.